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Department of Health and Human Services

Office of Inspector General -- AUDIT

"Third Party Liability Collections Under the Medicaid Program- Indiana Department of Public Welfare," (A-05-91-00052)

May 20, 1992


Complete Text of Report is available in PDF format (1.14 mb). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.

EXECUTIVE SUMMARY:

Federal regulations require States to pay the Federal Government a portion of third party liability (TLP) collections. The appropriate amount is determined by applying the Federal Medicaid matching percentage to total TPL collections. The State agency attempted to credit the applicable portion of TPL collections to the Federal Government on quarterly expenditure reports but, through clerical errors, the effect of the credits was negated by offsetting entries on the same reports. We recommended that the State agency refund $15 million, the aggregate Federal share of TPL credits due, and improve internal controls over TPL collections and reporting.